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"`AFR, 29, 2009!" 9;31AM y'`"`PEOPLES NAT BANK 2ND '-~lIY ur r-~';K.Lm NQ, 730 P. 1~~ C1'~l
<br />BOARD/CONm5STON/COMMYTTEE APPLICAT~O-N
<br />The Pazis City Counca3 is seeldng c=mitted indaviduals who are dedicated to the well-being af the Paris
<br />community to serve on its standizz boards, coinmissions} aad committees. Jn geaettal, it is the Cxty
<br />Counci3's polacy to appoint pexsons to a maximum of two consecutive full three-yEar terms arr a give,n
<br />body. 3n addition to the general qualificatxaes listed in the certification beXow, other qu.alifications may be
<br />mandated by statute, City CharCer, ordinance, ar resolution. Please complete the infomnation requested
<br />below and zetuaxz to: City Clerk, 150 SE First Street/P.0. Box 9037, Paris, Texas, 75461.
<br />8oardJCommissfan/Coxttttuttee of Ynterest
<br />Airpoxt Advisury Board
<br />❑ Building & Standaxds Cornznission
<br />❑ C' ' ervire Commission
<br />Lcanomic T]evelopmenL Corporarion
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<br />11*49~c Preservation Comtn.ission
<br />❑ 'R,o'using Authoriry 8aard of Coiaaussioners
<br />❑ N*, Street Advisory Baard
<br />Mun,icipaX Band Comrnission
<br />❑ Paris/I.amar County Board Qf Health
<br />❑ Flanning & Zoning Commission
<br />Publics Libraz'y .A.dvisary Soard
<br />❑ Tr c Coa=ission
<br />oning Board of Adjustment
<br />Can+didate rnformatior
<br />.
<br />Cer#~f~~WoA ax►d Autbori7.atiot,
<br />By signing,'belo+u, Z aclmowladge tbat I am aware and agrcc ta thc pmlxibitioas of the City of !'aris f:barksr a3od the taw9 qf'tbe-
<br />StaLe oMkas xegardiug aepotism and conflicts of iuterest o£ appoiaises w Ciry boatds, sommies'soffi, and corntuittm. 191,90
<br />r,c~r~~ a4iAt'n~ aprnirrtrrl T wiil altr.nd at jeast 75 perrent of a11 regula mmtitg& and shall riot heve $ny delinqueIIl xndebtedueSs
<br />co 4b,q ~_Qfluring My terM r uABersr.Md that the aumber of pasitions on agiven board. commies%os1, ar committae is limited
<br />sno,,,thatk j gasy mdt be appointed; howcwcr, if I sm not appointed, X agree to be placed in a dalabase for poSSible ~'utuTe
<br />uufiti;uduu ~t lupicb u~' intCC~sl. I mrufy LUut tbc ,inforanation givr.n lYy mo in tb,is sppaiaiLtiort is rir+t Aiod co=ct aad any £e3.aa
<br />iafoima'troia ar miisrepresentatioz is suffioxent gro'unds foY disquslificarian. i authotize the City o~ Pori5 to rrerify atI
<br />Womitioa pmvided in this application. In accordance th eetion 352 of the T.ocal Goven=ent Code, I imderstand that
<br />inforr~atioa pravidod in ttiis applicat' may be aWablepjblicj*on req,uest ~
<br />Date:
<br />SaOiatura of CandidstK AV
<br />Coaftt"oY 3nterest: Y l N lndeDtedness; Y!N Nepodsm. Y 1 N Disl,: 12 3 4 5 6 7 Peevfoas Seiwlce: 0 12 3 4 S 6
<br />G1y t af guris Rpvispd I1Z/19/liR
<br />5-
<br />1 .i lul
<br />f:,.4 ~-Y.. .
<br />Ple~jse,n,are ar,y specaial ktowleAge, educstinn, or experience you have that is applicable to the ftetion of
<br />tl~e bo,ard; cor~ana~ssioa, or cammittee af iriterest (attaeh additional pages if n cessary). Tf applieable, list
<br />d.alei-6fs6rvi.ce an atay City board , comtri~i9~'_,~5 ~'o~s,
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